| NPI | 1841341070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNISE KING President 772-567-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 691449796) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |